| NPI | 1801092754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B COPP President 619-435-3185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 37325) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |